Crash of an Antonov AN-12A in Geneina: 18 killed

Date & Time: Jan 2, 2020
Type of aircraft:
Operator:
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Geneina - Khartoum
MSN:
2340606
YOM:
1962
Country:
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
11
Pax fatalities:
Other fatalities:
Total fatalities:
18
Circumstances:
Shortly after takeoff from Geneina Airport, the four engine aircraft went out of control and crashed in flames about 5 km from the airport. The aircraft was destroyed by impact forces and a post crash fire and all 18 occupants were killed, among them three children. The aircraft was returning to Khartoum after delivering medical aid.

Crash of a Let L-410UVP-E10 in Kamina

Date & Time: Dec 28, 2019 at 1434 LT
Type of aircraft:
Operator:
Registration:
9S-GDX
Survivors:
Yes
Schedule:
Lubumbashi – Kamina
YOM:
1987
Location:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
16
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
After touchdown on a wet earth runway, the airplane went out of control. It veered off runway to the right, struck a shoulder and lost its nose gear before coming to rest. All 18 occupants escaped uninjured while the airplane was substantially damaged.

Crash of a Fokker 100 in Almaty: 12 killed

Date & Time: Dec 27, 2019 at 0721 LT
Type of aircraft:
Operator:
Registration:
UP-F1007
Flight Phase:
Survivors:
Yes
Schedule:
Almaty – Nursultan
MSN:
11496
YOM:
1996
Flight number:
Z92100
Country:
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
93
Pax fatalities:
Other fatalities:
Total fatalities:
12
Captain / Total flying hours:
20141
Captain / Total hours on type:
3956.00
Copilot / Total flying hours:
11544
Copilot / Total hours on type:
4144
Aircraft flight hours:
44632
Aircraft flight cycles:
52771
Circumstances:
The Fokker 100 departed Almaty Airport on a regular schedule service (flight Z92100) to Astana-Nursultan Nazarbayev Airport, carrying 93 passengers and a crew of five. During the takeoff roll on runway 05R with flaps at zero, after a course of 36 seconds and at a speed of 148 knots, the crew started the rotation. Immediately after liftoff, the airplane rolled to the right at an angle of 5° then to the left at an angle of 19° without an increase of the indicated airspeed. After reaching the height of 20 feet in a pitch angle of 14°, the airplane started to descend then hit the runway surface with the base of the tail. It landed on its main landing gear and rolled for about 15 seconds with the nose gear still in the air. The airplane took off again at a speed of 138 knots then the crew retracted the landing gear. In a pitch angle of 19°, the airplane lost speed (130 knots), veered to the right, belly landed and slid for about 850 metres, went through a fence and eventually crashed into a house located near the perimeter fence, some 80 metres to the right of the extended center line. 47 occupants were injured, 39 escaped unhurt and 12 others were killed, among them the captain. The aircraft was destroyed. There was not fire.
Probable cause:
The accident was the consequence of an asymmetrical loss of wing lift properties at the stage of takeoff, which resulted in the aircraft crashing down immediately after leaving the runway and rolling to the right on the snowy ground, breaching the airport perimeter fence and colliding with a two-story private building located 9-10 m from the fence. As a result of collision, 11 passengers and one crew member died and 47 passengers received different injuries because of overloading, striking, destruction and crushing of the aircraft structure. The cause of the loss of wing lift properties was most likely the effect of ground icing.
Contributing factors:
- The crew, after analyzing the actual meteorological situation at Almaty airport, may not have drawn sufficient conclusions to better inspect the entire aircraft and especially (tactile method) the leading edge of the wing;
- The Flight Safety Management System (FMS) of Beck Air JSC contains mainly only general provisions and specific actions that were not adapted for implementation, which did not allow timely identification and elimination of existing risks affecting flight safety.
- Collision of the aircraft with a two-storey private structure, which affected the severity of the consequences.
Final Report:

Crash of a Beechcraft A100 King Air in Charallave: 9 killed

Date & Time: Dec 19, 2019
Type of aircraft:
Operator:
Registration:
YV1104
Flight Type:
Survivors:
No
Schedule:
Guasipati – Charallave
MSN:
B-231
YOM:
1977
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
9
Circumstances:
On final approach to Charallave-Óscar Machado Zuloaga Airport in marginal weather conditions, the twin engine airplane crashed in unknown circumstances about 8 km from the runway threshold. The aircraft was destroyed and all nine occupants were killed.

Ground accident of a Beechcraft 200 Super King Air in Fresno

Date & Time: Dec 18, 2019 at 0730 LT
Operator:
Registration:
N72MM
Flight Phase:
Flight Type:
Survivors:
Yes
MSN:
BB-497
YOM:
1979
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
9838
Circumstances:
Parked at Fresno-Yosemite Airport, the twin engine airplane was stolen by a teenager aged 17. She lost control of the airplane that collided with a fence and a building. The only occupant was uninjured and arrested. The aircraft was damaged beyond repair.
Probable cause:
No investigations were conducted by the NTSB on this event.

Crash of an Angel Aircraft Corporation Model 44 Angel in Mareeba: 2 killed

Date & Time: Dec 14, 2019 at 1115 LT
Registration:
VH-IAZ
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Mareeba - Mareeba
MSN:
004
YOM:
2008
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
20000
Captain / Total hours on type:
300.00
Copilot / Total flying hours:
5029
Copilot / Total hours on type:
0
Aircraft flight hours:
1803
Circumstances:
On 14 December 2019, at 1046 Eastern Standard Time, an Angel Aircraft Corporation Model 44 aircraft, registered VH-IAZ, commenced taxiing at Mareeba Airport, Queensland. On board the aircraft were two pilots. The pilot in the left seat (‘the pilot’) owned the aircraft and was undertaking a flight review, which was being conducted by the Grade 1 flight instructor in the right seat (‘the instructor’). The planned flight was to operate in the local area, as a private flight and under visual flight rules. As the aircraft taxied towards the runway intersection, the pilot broadcast on the common traffic advisory frequency (CTAF) that VH-IAZ was taxiing for runway 28. The pilot made another broadcast when entering and backtracking the runway, then at 1058, broadcast that the aircraft had commenced the take-off roll. Witnesses who heard the aircraft during the take-off reported that it sounded like one of the engines was hesitating and misfiring. An aircraft maintainer who observed the aircraft take off, reported seeing black sooty smoke trailing from the right engine. The maintainer then watched the aircraft climb slowly and turn right towards the north. Another witness who heard the aircraft in flight soon afterwards, reported that it sounded normal for that aircraft, which had a distinctive sound because the engines’ exhaust gases pass through the propellers. Once airborne, the pilot broadcast that they were ‘making a low-level right-hand turn and then climbing up to not above 4,500 [feet] for the south-west training area.’ About 2 minutes later, the instructor broadcast that they were just to the west of the airfield in the training area at 2,500 ft and on climb to 4,000 ft, and communicated with a helicopter pilot operating in the area. After 8 minutes in the training area, the pilot broadcast that they were inbound to the aerodrome. At 1112, the aircraft’s final transmission was broadcast by the pilot, advising that they were joining the crosswind circuit leg for runway 28. Witnesses then saw the aircraft touch down on the runway and continue to take off again, consistent with a ‘touch-and-go’ manoeuvre, and heard one engine ‘splutter’ as the aircraft climbed to an estimated 100–150 ft above ground level. At about 1115, the aircraft was observed overhead a banana plantation beyond the end of the runway, banked to the right in a descending turn, before it suddenly rolled right. Witnesses observed the right wing drop to near vertical and the aircraft impacted terrain in a cornfield. Both pilots were fatally injured and the aircraft was destroyed.
Probable cause:
Contributing factors:
• The flight instructor very likely conducted a simulated engine failure after take-off in environmental conditions and a configuration in which the aircraft was unable to maintain altitude with one engine inoperative.
• Having not acted quickly to restore power to the simulated inoperative engine, the pilots did not reduce power and land ahead (in accordance with the Airplane Flight Manual procedure) before the combination of low airspeed and bank angle resulted in a loss of directional control at a height too low to recover.
• The instructor had very limited experience with the aircraft type, and with limited preparation for the flight, was likely unaware of the landing gear and flap retraction time and the extent of their influence on performance with one engine inoperative.

Other factors that increased risk:
• The pilot had not flown for 3 years prior to the accident flight, which likely resulted in a decay in skills at managing tasks such as an engine failure after take-off and in decision-making ability. The absence of flying practice before the flight review probably affected the pilot’s ability to manage the asymmetric low-level flight.
• The aircraft had not been flown for more than 2 years and had not been stored in accordance with the airframe and engine manufacturers’ recommendations. This very likely resulted in some of the right engine cylinders running with excessive fuel to air ratio for complete combustion and may also have reduced the expected service life of both engines’ components.
• The right-side altimeter was probably set to an incorrect barometric pressure, resulting in it over-reading the aircraft’s altitude by about 90 ft.
Final Report:

Crash of a Cessna 208B Grand Caravan in Victoria: 1 killed

Date & Time: Dec 9, 2019 at 2017 LT
Type of aircraft:
Operator:
Registration:
N4602B
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Victoria – Houston
MSN:
208B-0140
YOM:
1988
Flight number:
MRA679
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
12680
Captain / Total hours on type:
1310.00
Aircraft flight hours:
17284
Circumstances:
The airline transport pilot departed on a night cargo flight into conditions that included an overcast cloud ceiling and “hazy” visibility, as reported by another pilot. About one minute after takeoff, the pilot made a series of course changes and large altitude and airspeed deviations. Following several queries from the air traffic controller concerning the airplane’s erratic flight path, the pilot responded that he had “some instrument problems.” The pilot attempted to return to land at the departure airport, but the airplane impacted terrain after entering a near-vertical dive. The airplane was one of two in the operator’s fleet equipped with an inverter system that electrically powered the pilot’s (left side) flight instruments. Examination of the annunciator panel lighting filaments revealed that the inverter system was not powered when the airplane impacted the ground. Without electrical power from an inverter, the pilot’s side attitude indicator and horizontal situation indicator (HSI) would have been inoperative and warning flags would have been displayed over the respective instruments. The pilot had a history of poor procedural knowledge and weak flying skills. It is possible that he either failed to turn on an inverter during ground operations and did not respond to the accompanying warning flags, or he did not switch to the other inverter in the event that an inverter failed inflight. Due to impact damage, the operational status of the two inverters installed in the airplane could not be confirmed. However, the vacuum-powered flight instruments on the copilot’s (right side) were operational, and the pilot could have referenced these instruments to maintain orientation. Based on the available information, the pilot likely lost control of the airplane after experiencing spatial disorientation. The night marginal visual flight rules conditions and instrumentation problems would have been conducive to the development of spatial disorientation, and the airplane’s extensive fragmentation indicative of a high-energy impact was consistent with the known effects of spatial disorientation. Ethanol identified during toxicology testing may have come from postmortem production and based on the low levels recorded, was unlikely to have contributed to this accident. Morphine identified in the pilot’s liver could not be used to extrapolate to antemortem blood levels; therefore, whether or to what extent the pilot’s use of morphine contributed to the accident could not be determined.
Probable cause:
The pilot’s loss of control due to spatial disorientation. Contributing to the accident were the inoperative attitude indicator and horizontal situation indicator on the pilot’s side of the cockpit, and the pilot’s failure to reference the flight instruments that were operative.
Final Report:

Crash of a Pilatus PC-12/47E in Chamberlain: 9 killed

Date & Time: Nov 30, 2019 at 1233 LT
Type of aircraft:
Operator:
Registration:
N56KJ
Flight Phase:
Survivors:
Yes
Schedule:
Chamberlain – Idaho Falls
MSN:
1431
YOM:
2013
Crew on board:
1
Crew fatalities:
Pax on board:
11
Pax fatalities:
Other fatalities:
Total fatalities:
9
Captain / Total flying hours:
2314
Captain / Total hours on type:
1274.00
Aircraft flight hours:
1725
Circumstances:
The pilot and passengers flew in the day before the accident and the airplane remained parked outside on the airport ramp overnight. Light to moderate snow and freezing drizzle persisted during the 12 to 24-hour period preceding the accident. In addition, low instrument meteorological conditions existed at the time of the accident takeoff. Before the flight, the pilot removed snow and ice from the airplane wings. However, the horizontal stabilizer was not accessible to the pilot and was not cleared of accumulated snow. In addition, the airplane was loaded over the maximum certificated gross weight and beyond the aft center-of-gravity limit. A total of 12 occupants were on board the airplane, though only 10 seats were available. None of the occupants qualified as lap children under regulations. The takeoff rotation was initiated about 88 kts which was about 4 kts slower than specified with the airplane configured for icing conditions. After takeoff, the airplane entered a left turn. Airspeed varied between 89 and 97 kts during the initial climb; however, it decayed to about 80 kts as the airplane altitude and bank angle peaked. The airplane ultimately reached a left bank angle of 64° at the peak altitude of about 380 ft above ground level. The airplane then entered a descent that continued until impact. The stall warning and stick shaker activated about 1 second after liftoff. The stick pusher became active about 15 seconds after liftoff. All three continued intermittently for the duration of the flight. A witness located about 1/2-mile northwest of the airport reported hearing the airplane takeoff. It was cloudy and snowing at the time. He was not able to see the airplane but noted that it entered a left turn based on the sound. He heard the airplane for about 4 or 5 seconds and the engine seemed to be “running good” until the sound stopped. The airplane impacted a dormant corn field about 3/4-mile west of the airport. A postaccident airframe examination did not reveal any anomalies consistent with a preimpact failure or malfunction. On board recorder data indicated that the engine was operating normally at the time of the accident. An airplane performance analysis indicated that the accumulated snow and ice on the empennage did not significantly degrade the airplane performance after takeoff. However, the effect of the snow and ice on the airplane center-of-gravity and the pitch (elevator) control forces could not be determined. Simulations indicated that the pitch oscillations recorded on the flight could be duplicated with control inputs, and that the flight control authority available to the pilot would have been sufficient to maintain control until the airplane entered an aerodynamic stall about 22 seconds after lifting off (the maximum bank angle of 64° occurred after the critical angle-of-attack was exceeded). In addition, similar but less extreme pitch oscillations recorded on the previous flight (during which the airplane was not contaminated with snow but was loaded to a similar center-of-gravity position) suggest that the pitch oscillations on both flights were the result of the improper loading and not the effects of accumulated snow and ice. Flight recorder data revealed that the accident pilot tended to rotate more rapidly and to a higher pitch angle during takeoff than a second pilot who flew the airplane regularly. Piloted simulations suggested that the accident pilot’s rotation technique, which involved a relatively abrupt and heavy pull on the control column, when combined with the extreme aft CG, heavy weight, and early rotation on the accident takeoff, contributed to the airplane’s high angle-of attack immediately after rotation, the triggering of the stick shaker and stick pusher, and the pilot’s pitch control difficulties after liftoff. The resulting pitch oscillations eventually resulted in a deep penetration into the aerodynamic stall region and subsequent loss of control. Although conditions were conducive to the development of spatial disorientation, the circumstances of this accident are more consistent with the pilot’s efforts to respond to the activation of the airplane stall protection system upon takeoff. These efforts were hindered by the heightened airplane pitch sensitivity resulting from the aft-CG condition. As a result, spatial disorientation is not considered to be a factor in this accident.
Probable cause:
The pilot’s loss of control shortly after takeoff, which resulted in an inadvertent, low-altitude aerodynamic stall. Contributing to the accident was the pilot’s improper loading of the airplane, which resulted in reduced static longitudinal stability and his decision to depart into low instrument meteorological conditions.
Final Report:

Crash of a Boeing 737-8F2 in Odessa

Date & Time: Nov 21, 2019 at 2055 LT
Type of aircraft:
Operator:
Registration:
TC-JGZ
Survivors:
Yes
Schedule:
Istanbul – Odessa
MSN:
35739/2654
YOM:
2008
Flight number:
TK467
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
136
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6094
Captain / Total hours on type:
5608.00
Copilot / Total flying hours:
252
Copilot / Total hours on type:
175
Aircraft flight hours:
38464
Aircraft flight cycles:
22633
Circumstances:
On November 21, 2019, a regular THY2UT flight en-route Istanbul – Odesa at B737-800 aircraft, nationality and registration mark TC-JGZ of the Turkish Airlines, was performed by the aircraft crew consisting of the Pilot-in-Command (PIC), co-pilot and four flight attendants of the aircraft. In fact, the departure from Istanbul Airport was performed at 17:33. The actual aircraft landing took place at 18:55. According to the flight plan, the alternate aerodromes were Istanbul and Chișinău. There were 136 passengers and 2793 kg of luggage on board the aircraft. The PIC was a Pilot Flying, and the co-pilot was a Pilot Monitoring of the aircraft. The pre-flight briefing of the crew, according to its explanations, was carried out before departure from the Istanbul Airport, after which the PIC took the decision to perform the flight. The climb and level flight were performed in the normal mode. The landing approach was performed to the Runway16 with ILS system at a significant crosswind component of variable directions. At the final stage of approaching with ILS to Runway 16, the ATC controller of the aerodrome control tower (ATC Tower) gave the aircraft crew a clearance for landing. The aircraft crew confirmed the controller’s clearance and continued the landing approach. Subsequently, from a height of about 50 meters, the aircraft performed a go-around due to the aircraft non-stabilization before landing. Following the go-around, the aircraft headed to the holding area to wait for favorable values of wind force and direction. At 18:45, the PIC took the decision to carry out a repeated landing approach, reported of that to the ATC controller, who provided ATS in the Odesa Terminal Maneuvering Area (TMA.) At 18:51, the crew re-contacted the Tower controller and received the clearance to land. At 18:55, after touchdown, during the runway run, the aircraft began to deviate to the left and veered off of the runway to the left onto the cleared and graded area. After 550 m run on the soil, the aircraft returned to the runway with its right main landing gear and nose part (while moving on the soil, the nose landing gear collapsed) and came to rest at the distance of 1612 m from the runway entrance threshold. The crew performed an emergency evacuation of passengers from the aircraft. As a result of the accident, the aircraft suffered a significant damage to the nose part of the fuselage and left engine. None of the passengers or crew members was injured.
Probable cause:
The cause of the accident, i.e. runway excursion, which caused significant damage to the structural elements of the aircraft B-737-800 TC-JGZ of Turkish Airlines, which took place on 21.11.2019 during landing at «Odesa» Aerodrome, was failure to maintain the direction of the aircraft movement during the landing run in the conditions of a strong crosswind of variable directions.
Contributing Factors:
- Use by the crew of the landing approach method using the Touchdown in Crab technique, which is not recommended by FCTM B-737NG document for use on dry runways in the conditions of a strong crosswind;
- Untimely and insufficient actions of the crew to maintain the landing run direction;
- Presence of a significant cross component of the wind;
- Effect of an omnidirectional wind – from cross-headwind to cross-tailwind directions – during the landing run.
Final Report:

Crash of a Cessna 550 Citation II in Maraú: 5 killed

Date & Time: Nov 14, 2019 at 1417 LT
Type of aircraft:
Registration:
PT-LTJ
Flight Type:
Survivors:
Yes
Schedule:
Jundiaí – Maraú
MSN:
550-0225
YOM:
1981
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
8000
Captain / Total hours on type:
2500.00
Copilot / Total flying hours:
350
Copilot / Total hours on type:
25
Aircraft flight hours:
6978
Aircraft flight cycles:
6769
Circumstances:
The aircraft took off from the Comandante Rolim Adolfo Amaro Aerodrome (SBJD), Jundiaí - SP, to the Barra Grande Aerodrome (SIRI), Maraú - BA, at about 1458 (UTC), in order to carry out a private flight, with two pilots and eight passengers on board. Upon arriving at the destination Aerodrome, at 1717 (UTC), the aircraft made an undershoot landing on runway 11, causing the main and auxiliary landing gear to burst. The airplane moved along the runway, dragging the lower fuselage and the lower wing, leaving the runway by its left side, and stopping with the heading lagged, approximately, 210º in relation to the landing trajectory. Afterwards, there was a fire that consumed most of the aircraft. The aircraft was destroyed. One crewmember and four passengers suffered fatal injuries and the other crewmember and four passengers suffered serious injuries.
Probable cause:
Contributing factors.
- Control skills – a contributor
The inadequate performance of the controls led the aircraft to make a ramp that was lower than the ideal. This condition had the consequence of touching the ground before the runway’s threshold.
- Attention – undetermined
During the approach for landing, the commander divided his attention between the supervision of the copilot's activities and the performance of the aircraft's controls. Such circumstances may have impaired the flight management and limited the reaction time to correct the approach ramp.
- Attitude – undetermined
The report that the commander took two photographs of the runway and of the Aerodrome with his cell phone, during the wind leg, reflected an inadequate and complacent posture in relation to his primary tasks at that stage of the flight, which may have contributed to this occurrence.
- Communication – undetermined
As reported by the commander, the low tone and intensity of voice used by the copilot during the conduct of callouts, associated with the lack of use of the head phones, limited his ability to receive information, which may have affected his performance in management of the flight.
- Crew Resource Management – a contributor
The lack of proper use of CRM techniques, through the management of tasks on board, compromised the use of human resources available for the operation of the aircraft, to the point of preventing the adoption of an attitude (go-around procedure) that would avoid the accident, from the moment when the recommended parameters for a stabilized VFR approach are no longer present.
- Illusions – undetermined
It is possible that the width of the runway, narrower than the normal for the pilots involved in the accident, caused the illusion that the aircraft was higher than expected, for that distance from the thrashold 11 of SIRI, to the point of influence the judgment of the approach ramp. In addition, the fact that the pilot was surprised by the geography of the terrain (existence of dunes) and the coloring of the runway (asphalt and concrete), may have led to a false visual interpretation, which reflected in the evaluation of the parameters related to the approach ramp.
- Piloting judgment – a contributor
The commander's inadequate assessment of the aircraft's position in relation to the final approach ramp and landing runway contributed to the aircraft touching the ground before the thrashold.
- Perception – undetermined
It is possible that a decrease in the crew's situational awareness level resulted in a delayed perception that the approach to landing was destabilized and made it impossible to correct the flight parameters in a timely manner to avoid touching the ground before the runway.
- Flight planning – undetermined
It is possible that, during the preparation work for the flight, the pilots did not take into account the impossibility of using the perception and alarm system of proximity to the ground that equipped the aircraft, and the inexistence of a visual indicator system of approach ramp at the Aerodrome.
- Other / Physical sensory limitations – undetermined
The impairment of the hearing ability of the aircraft commander, coupled with the lack of the use of head phones, may have interfered with the internal communication of the flight cabin, in the critical phase of the flight.
Final Report: